CN106943678A - A kind of method and device of automatic radiotherapy position - Google Patents

A kind of method and device of automatic radiotherapy position Download PDF

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Publication number
CN106943678A
CN106943678A CN201710219145.4A CN201710219145A CN106943678A CN 106943678 A CN106943678 A CN 106943678A CN 201710219145 A CN201710219145 A CN 201710219145A CN 106943678 A CN106943678 A CN 106943678A
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China
Prior art keywords
bedstead
radiotherapy
space
poor
adjustment
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CN201710219145.4A
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CN106943678B (en
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李晓颖
赵波
高献书
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Peking University First Hospital
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Peking University First Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1049Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1064Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1069Target adjustment, e.g. moving the patient support

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention discloses a kind of method and device of automatic radiotherapy position, it is related to radiotherapy position technical field, its method includes:When patient is fixed on and positioned on the bedstead, by setting up the bedstead external space radiotherapy space coordinates, and determine to be marked at located space position of the mark point on patient body-surface in the radiotherapy space coordinates;When patient is fixed on and puts position on the bedstead, by being detected to the mark point being marked on patient body-surface, pendulum bit space position of the mark point in radiotherapy space coordinates is determined;By the way that the pendulum bit space position and the located space position are carried out into matching treatment, locus is obtained poor;It is poor according to locus, position adjustment is carried out to portable bedstead, makes the pendulum bit space position consistent with the located space position.

Description

A kind of method and device of automatic radiotherapy position
Technical field
The present invention relates to radiotherapy position technical field, more particularly to a kind of method and device of automatic radiotherapy position.
Background technology
By adjusting the position between patient and therapeutic bed when pendulum position is doctor's each radiotherapy, the locus of therapeutic bed, Consistent process when making the position treated every time with positioning, is the important component of radiotherapy.
Pendulum position step used by current radiotherapy is:1) patient is lain on fixed bedstead when positioning;2) buckle film, immobilized patients with Bedstead position;3) patient's row iconography is scanned;4) under laser lamp auxiliary, therapeutic community's point is marked on film body;5) film is removed Body, the position of patient and fixed bedstead is traced in patient body-surface;6) when treating every time, patient is adjusted by patient body-surface mark line Position with treating fixed bedstead, it is consistent after to patient's buckle film, by die body mark line come Mobile treatment table position, it is ensured that patient Treatment is with positioning time space location matches every time.
The positioning of pendulum position, which exists, at present has the disadvantage:1) conventional patient body-surface mark is in patient skin table using pigment pen at present Face is delineated, and it has the disadvantage the easy dizzy dye clothes of color;Mark easily fades, and patient indicia's heading line off or mark line often occurs Thicker situation (1cm, normal laser rays only 1 millimeter) also has a small number of units using tattooing apparatus in patient on the market at present Skin line mark point, shortcoming is that mark exists all the life, and many patients are difficult to receive, while also some patient's later stage needs Anchor point is adjusted, so the anchor point of tatooing of mark can not be removed for the first time, be easy to obscure in successive treatment.2) patient treats When putting position, therapist is needed to adjust the position of patient in bed repeatedly so that bedstead is marked when body marker line position is with positioning Graduation position is consistent, and many aged patients or handicapped patient move inconvenience;Simultaneously because being artificially to adjust patient with controlling The position of bed is treated, pendulum position process is influenceed larger by supervisor technician.
The content of the invention
The technical problem that the scheme provided according to embodiments of the present invention is solved needs manually repeatedly when being each radiotherapy position Adjust position of the patient in therapeutic bed.
A kind of method of the automatic radiotherapy position provided according to embodiments of the present invention, including:
When patient is fixed on and positioned on the bedstead, by setting up radiotherapy space coordinates to the bedstead external space, and It is determined that located space position of the mark point being marked on patient body-surface in the radiotherapy space coordinates;
When patient is fixed on and puts position on the bedstead, by being visited to the mark point being marked on patient body-surface Survey, determine pendulum bit space position of the mark point in radiotherapy space coordinates;
By the way that the pendulum bit space position and the located space position are carried out into matching treatment, locus is obtained poor;
It is poor according to locus, position adjustment is carried out to portable bedstead, makes the pendulum bit space position and the positioning Locus is consistent.
Preferably, the position adjustment of the portable bedstead includes:Before and after portable bedstead or so adjustment, portable bedstead Adjustment and portable bedstead anglec of rotation adjustment above and below adjustment, portable bedstead.The radiotherapy space coordinates of the foundation are What the objects of reference such as magnetic field or infrared or laser outside using bedstead were set up.
Preferably, the skin-marker refers to have and docile on patient body-surface and be able to can sent out during Patients Treated by Radiotherapy Go out the mark point of detectable signal.
Preferably, the determination is marked at positioning sky of the mark point on patient body-surface in the radiotherapy space coordinates Between position include:
When patient is fixed on and puts position on the bedstead, by being visited to the mark point being marked on patient body-surface Survey, determine located space position of the radiotherapy mark point in the radiotherapy space coordinates.
Preferably, it is described by the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtain Locus difference includes:
By the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtain including right position Difference, front and back position are poor, upper-lower position is poor and the locus of rotary angle position difference is poor.
Preferably, described poor according to locus, carrying out position adjustment to portable bedstead includes:
It is poor according to the right position of locus difference, left and right adjust instruction is generated, and according to its position to portable bedstead Put progress left and right adjustment;
Poor, the adjust instruction before and after generation according to the front and back position of locus difference, and according to its position to portable bedstead Put adjustment before and after progress;
Poor, the adjust instruction above and below generation according to the upper-lower position of locus difference, and according to its position to portable bedstead Put and adjusted above and below progress;
It is poor according to the rotary angle position of locus difference, anglec of rotation adjust instruction is generated, and according to it to movable type The position of bedstead carries out angle adjustment.
A kind of device of the automatic radiotherapy position provided according to embodiments of the present invention, including:
Located space position module is determined, for when patient is fixed on and positioned on the bedstead, outside to bedstead Radiotherapy space coordinates are set up in space, and determine to be marked at the mark point on patient body-surface in the radiotherapy space coordinates Located space position;
It is determined that pendulum bit space position module, for when patient is fixed on and puts position on the bedstead, by being marked at Mark point on patient body-surface is detected, and determines pendulum bit space position of the mark point in radiotherapy space coordinates;
Matching module, for by the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtaining It is poor to locus;
Position adjusting type modules, for poor according to locus, position adjustment is carried out to portable bedstead, makes the pendulum position empty Between position it is consistent with the located space position.
Preferably, the position adjustment of the portable bedstead includes:Before and after portable bedstead or so adjustment, portable bedstead Adjustment and portable bedstead anglec of rotation adjustment above and below adjustment, portable bedstead.
Preferably, the skin-marker refers to have and docile on patient body-surface and be able to can sent out during Patients Treated by Radiotherapy Go out the mark point of detectable signal.
Preferably, the matching module is specifically for by the way that the pendulum bit space position is entered with the located space position Row matching treatment, is obtained comprising right position is poor, front and back position is poor, upper-lower position is poor and the space bit of rotary angle position difference Put difference.
The scheme provided according to embodiments of the present invention, whole system can reduce the movement to patient when putting position, improve patient Comfort level, reduces the Set-up errors that human factor is caused, and improves operating efficiency.
Brief description of the drawings
Fig. 1 is a kind of method flow diagram of automatic radiotherapy position provided in an embodiment of the present invention;
Fig. 2 is a kind of schematic device of automatic radiotherapy position provided in an embodiment of the present invention;
Fig. 3 is the schematic diagram of the system of automatic radiotherapy position provided in an embodiment of the present invention.
Embodiment
Below in conjunction with accompanying drawing to a preferred embodiment of the present invention will be described in detail, it will be appreciated that described below is excellent Select embodiment to be merely to illustrate and explain the present invention, be not intended to limit the present invention.
Fig. 1 is a kind of method flow diagram of automatic radiotherapy position provided in an embodiment of the present invention, as shown in figure 1, including:
Step S101:When patient is fixed on and positioned on the bedstead, by setting up radiotherapy space to the bedstead external space Coordinate system, and determine to be marked at located space position of the mark point on patient body-surface in the radiotherapy space coordinates;
Step S102:When patient is fixed on and puts position on the bedstead, pass through the mark to being marked on patient body-surface Point is detected, and determines pendulum bit space position of the mark point in radiotherapy space coordinates;
Step S103:By the way that the pendulum bit space position and the located space position are carried out into matching treatment, sky is obtained Between alternate position spike;
Step S104:It is poor according to locus, to portable bedstead carry out position adjustment, make it is described pendulum bit space position with The located space position is consistent.
Wherein, the position adjustment of the portable bedstead includes:Adjusted before and after portable bedstead or so adjustment, portable bedstead Adjustment and portable bedstead anglec of rotation adjustment above and below whole, portable bedstead.
Wherein, the skin-marker refers to have and docile on patient body-surface and be able to can sent during Patients Treated by Radiotherapy The mark point of detectable signal.
Wherein, the determination is marked at located space of the mark point on patient body-surface in the radiotherapy space coordinates Position includes:When patient is fixed on and puts position on the bedstead, by being visited to the mark point being marked on patient body-surface Survey, determine located space position of the radiotherapy mark point in the radiotherapy space coordinates.
Wherein, it is described by the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtain sky Between alternate position spike include:By the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtain comprising a left side Right alternate position spike, front and back position are poor, upper-lower position is poor and the locus of rotary angle position difference is poor.
Wherein, described poor according to locus, carrying out position adjustment to portable bedstead includes:According to locus difference Right position is poor, generates left and right adjust instruction, and carry out left and right adjustment according to its position to portable bedstead;According to space bit The front and back position for putting difference is poor, adjust instruction before and after generation, and according to adjustment before and after its position progress to portable bedstead;According to The upper-lower position of locus difference is poor, adjust instruction above and below generation, and carries out downward according to its position to portable bedstead It is whole;It is poor according to the rotary angle position of locus difference, anglec of rotation adjust instruction is generated, and according to it to portable bedstead Position carries out angle adjustment.
Wherein, patient is fixed on when being positioned on bedstead by the present invention for the first time, obtains and preserves patient in positioning sky Between home position information, so that patient ensures patient when being treated on bedstead in therapeutic domain, and according to being preserved Home position information and the method for above-mentioned automatic radiotherapy position portable bedstead is micro-adjusted.
Fig. 2 is a kind of schematic device of automatic radiotherapy position positioning provided in an embodiment of the present invention, as shown in Fig. 2 bag Include:Located space position module 201 is determined, for when patient is fixed on and positioned on the bedstead, by bedstead outer space Between set up radiotherapy space coordinates, and determine mark point the determining in the radiotherapy space coordinates that is marked on patient body-surface Bit space position;It is determined that pendulum bit space position module 202, for when patient is fixed on and puts position on the bedstead, by right The mark point being marked on patient body-surface is detected, and determines pendulum bit space position of the mark point in radiotherapy space coordinates Put;Matching module 203, for by the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtaining Locus is poor;Position adjusting type modules 204, for poor according to locus, position adjustment is carried out to portable bedstead, is made described Put bit space position consistent with the located space position.
Wherein, the position adjustment of the portable bedstead includes:Adjusted before and after portable bedstead or so adjustment, portable bedstead Adjustment and portable bedstead anglec of rotation adjustment above and below whole, portable bedstead.
Wherein, the skin-marker refers to have and docile on patient body-surface and be able to can sent during Patients Treated by Radiotherapy The mark point of detectable signal.
Wherein, the matching module 203 by described specifically for by putting bit space position and the located space position Matching treatment is carried out, is obtained comprising right position is poor, front and back position is poor, upper-lower position is poor and the space of rotary angle position difference Alternate position spike.
Fig. 3 is the schematic diagram of the system of automatic radiotherapy position positioning provided in an embodiment of the present invention, as shown in figure 3, including: Base 1:For bedstead to be fixed with ground.Fixed card slot 2:For devices such as fixed body film, vacuum pads.Detectable marker thing 3: For patient body-surface mark, treatment isocenter point mark sends detectable signal.Detector 4:For receiving what label was sent Instruction, sends information to central processing unit 5.Central processing unit 5:The information sent for pick-up probe 4, carries out space mistake Difference matching, generates adjustment information, the movement of guiding treatment bed 7.Movable mechanical part 6:For being treated by the component controls Bed moves up and down and rotated.Portable bedstead 7:Can be according to the instruction of central processing unit 5, in movable mechanical part 6 The lower position adjustment for carrying out top to bottom, left and right, front and rear and the anglec of rotation of control.Accelerator head 8:Ray is sent to control patient Treat.
Wherein, detectable marker thing 3 includes:1st layer:The 2nd layer of bottom:Spy's detection hypothallus;3rd layer:Coat of colo(u)r;4th Layer:Glue-line;5th layer:Surface protection film.The marker material outward appearance is black, and length is not limited, can reduced as needed, and width is 2mm linear patterns, manufacture craft is transferred using current disposable tattoo sticker water.Its advantage:Current top grade is tatooed rubberizing Material has waterproof, and abrasion-resistant is difficult erasing, can be maintained 2 months in human body surface.Need to use special molten during erasing Agent (skin care milk/alcohol etc.)., can be real as long as detectable signal or other electric signals can be sent the invention is not restricted to this label This existing function.
Bedstead is designed as movable type.Portable bedstead can front and rear up and down and the anglec of rotation position adjustment, bed Frame both sides, which are carried, can fix the neck of film body or vacuum pad.
Central processing unit 7 can instruct mobile bedstead and accelerator to control according to the signal of change volumetric position error of detection Treat bed automatic adjusting position.
Use step:
Positioning:1) marker material is cut into suitable length as needed;Tear diaphragm off, covered under the auxiliary of laser lamp Cover human skin/die body surface;When the mark lines such as lines and laser are consistent, water saturates base paper is used, after 10 seconds gently Tear lines of basic unit's black with detection hypothallus off and just stick to body surface.2 with portable bedstead outside fix room certain point Space coordinates are set up for origin.Survey meter detection patient body-surface mark, locus where record patient when patient positions.
Treat self-oscillate position:1) when treating every time, patient is lain in therapeutic bed, using corresponding Postural immobilization measure (button Film, vacuum pad) 2) signal that sends of survey meter detection patient body-surface mark, it is transferred in central processing unit, by analyzing patient Position now and location matches during with positioning, according to space error twice, send instruction adjustment Part II and may move automatically The position of bedstead, it is consistent when making patient space position with positioning.3) after locus confirms, start to treat patient.
The scheme provided according to embodiments of the present invention, whole system can reduce the movement to patient when putting position, improve patient Comfort level, reduces the Set-up errors that human factor is caused, and improves operating efficiency.Novel markings material is maintained in patient body-surface simultaneously Time is more longlasting, and patient comfort is higher.
Although the present invention is described in detail above, the invention is not restricted to this, those skilled in the art of the present technique Various modifications can be carried out according to the principle of the present invention.Therefore, all modifications made according to the principle of the invention, all should be understood to Fall into protection scope of the present invention.

Claims (10)

1. a kind of method of automatic radiotherapy position, it is characterised in that including:
When patient is fixed on and positioned on the bedstead, by setting up radiotherapy space coordinates to the bedstead external space, and determine It is marked at located space position of the mark point on patient body-surface in the radiotherapy space coordinates;
When patient is fixed on and puts position on the bedstead, by being detected to the mark point being marked on patient body-surface, really Fixed pendulum bit space position of the mark point in radiotherapy space coordinates;
By the way that the pendulum bit space position and the located space position are carried out into matching treatment, locus is obtained poor;
It is poor according to locus, position adjustment is carried out to portable bedstead, makes the pendulum bit space position and the located space Position is consistent.
2. according to the method described in claim 1, it is characterised in that the position adjustment of the portable bedstead includes:It is portable Adjustment before and after bedstead or so adjustment, portable bedstead, adjustment and portable bedstead anglec of rotation adjustment above and below portable bedstead.
3. according to the method described in claim 1, it is characterised in that the skin-marker refers to have can be in Patients Treated by Radiotherapy Period docile is on patient body-surface and can send the mark point of detectable signal.
4. method according to claim 3, it is characterised in that the determination is marked at mark point on patient body-surface in institute The located space position stated in radiotherapy space coordinates includes:
When patient is fixed on and puts position on the bedstead, by being detected to the mark point being marked on patient body-surface, really Fixed located space position of the radiotherapy mark point in the radiotherapy space coordinates.
5. method according to claim 4, it is characterised in that described by putting bit space position and the positioning by described Locus carries out matching treatment, and obtaining locus difference includes:
By the way that pendulum bit space position and the located space position are carried out into matching treatment, obtain comprising right position it is poor, Front and back position is poor, upper-lower position is poor and the locus of rotary angle position difference is poor.
6. method according to claim 5, it is characterised in that described poor according to locus, is carried out to portable bedstead Position adjustment includes:
It is poor according to the right position of locus difference, left and right adjust instruction is generated, and position of portable bedstead is entered according to it The adjustment of row left and right;
Poor, the adjust instruction before and after generation according to the front and back position of locus difference, and position of portable bedstead is entered according to it Adjusted before and after row;
Poor, the adjust instruction above and below generation according to the upper-lower position of locus difference, and position of portable bedstead is entered according to it Adjusted above and below row;
It is poor according to the rotary angle position of locus difference, anglec of rotation adjust instruction is generated, and according to it to portable bedstead Position carry out angle adjustment.
7. a kind of device of automatic radiotherapy position, it is characterised in that including:
Located space position module is determined, for when patient is fixed on and positioned on the bedstead, by the bedstead external space Radiotherapy space coordinates are set up, and determine to be marked at positioning of the mark point on patient body-surface in the radiotherapy space coordinates Locus;
It is determined that pendulum bit space position module, for when patient is fixed on and puts position on the bedstead, by being marked at patient Mark point on body surface is detected, and determines pendulum bit space position of the mark point in radiotherapy space coordinates;
Matching module, for by the way that the pendulum bit space position and the located space position are carried out into matching treatment, obtaining sky Between alternate position spike;
Position adjusting type modules, for poor according to locus, position adjustment is carried out to portable bedstead, makes the pendulum bit space position Put consistent with the located space position.
8. device according to claim 7, it is characterised in that the position adjustment of the portable bedstead includes:It is portable Adjustment before and after bedstead or so adjustment, portable bedstead, adjustment and portable bedstead anglec of rotation adjustment above and below portable bedstead.
9. device according to claim 8, it is characterised in that the skin-marker refers to have can be in Patients Treated by Radiotherapy Period docile is on patient body-surface and can send the mark point of detectable signal.
10. method according to claim 9, it is characterised in that the matching module is specifically for by by the pendulum position Locus carries out matching treatment with the located space position, obtains comprising right position is poor, front and back position is poor, upper-lower position The locus of difference and rotary angle position difference is poor.
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CN107320124A (en) * 2017-06-28 2017-11-07 上海联影医疗科技有限公司 The method and medical image system of spacer scanning are set in medical image system
CN107358607A (en) * 2017-08-13 2017-11-17 强深智能医疗科技(昆山)有限公司 Tumour radiotherapy visual monitoring and visual servo intelligent control method
CN108273199A (en) * 2018-01-19 2018-07-13 深圳市奥沃医学新技术发展有限公司 A kind of method for detecting position, device and radiotherapy system
CN108852400A (en) * 2018-07-02 2018-11-23 沈阳东软医疗***有限公司 A kind of method and device for realizing therapeutic community's location verification
CN110211681A (en) * 2019-07-12 2019-09-06 江苏瑞尔医疗科技有限公司 A kind of therapeutic bed remote control apparatus and method
WO2020211739A1 (en) * 2019-04-18 2020-10-22 西安大医集团股份有限公司 Patient positioning method and apparatus
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CN1583194A (en) * 2003-08-24 2005-02-23 中国科学院等离子体物理研究所 Method and system for high-precision and rapid positioning in radiotherapy
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CN107320124A (en) * 2017-06-28 2017-11-07 上海联影医疗科技有限公司 The method and medical image system of spacer scanning are set in medical image system
CN107358607A (en) * 2017-08-13 2017-11-17 强深智能医疗科技(昆山)有限公司 Tumour radiotherapy visual monitoring and visual servo intelligent control method
CN108273199A (en) * 2018-01-19 2018-07-13 深圳市奥沃医学新技术发展有限公司 A kind of method for detecting position, device and radiotherapy system
WO2019141138A1 (en) * 2018-01-19 2019-07-25 深圳市奥沃医学新技术发展有限公司 Position detection method and device, and radiotherapy system
CN108273199B (en) * 2018-01-19 2024-05-14 深圳市奥沃医学新技术发展有限公司 Position detection method, position detection device and radiotherapy system
US11602647B2 (en) 2018-01-19 2023-03-14 Shenzhen Our New Medical Technologies Development Co, Ltd. Method and apparatus for detecting position, and radiotherapy system
CN108852400A (en) * 2018-07-02 2018-11-23 沈阳东软医疗***有限公司 A kind of method and device for realizing therapeutic community's location verification
CN108852400B (en) * 2018-07-02 2022-02-18 东软医疗***股份有限公司 Method and device for realizing position verification of treatment center
US11235176B2 (en) 2018-12-29 2022-02-01 Shanghai United Imaging Healthcare Co., Ltd. Subject positioning systems and methods
US11896849B2 (en) 2018-12-29 2024-02-13 Shanghai United Imaging Healthcare Co., Ltd. Subject positioning systems and methods
US11666241B2 (en) 2019-02-02 2023-06-06 Shanghai United Imaging Healthcare Co., Ltd. System and method for medical imaging
WO2020211739A1 (en) * 2019-04-18 2020-10-22 西安大医集团股份有限公司 Patient positioning method and apparatus
CN110211681A (en) * 2019-07-12 2019-09-06 江苏瑞尔医疗科技有限公司 A kind of therapeutic bed remote control apparatus and method
CN116234611A (en) * 2020-09-30 2023-06-06 西安大医集团股份有限公司 Patient position display method, system, electronic device and storage medium
WO2022067738A1 (en) * 2020-09-30 2022-04-07 西安大医集团股份有限公司 Patient position display method and system, electronic device, and storage medium

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